POST-OP

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Periodontal Post-Op Instructions 

General Guidelines for all procedures:

Do not chew on hard, sticky or chewy foods for a least 24 hours.  Never chew on ice. Avoid aggressive chewing and sticky foods such as “hard tack” candies that can loosen or damage a restoration.  Carefully follow all guidelines provided by the doctor and their staff and most importantly practice good oral hygiene.  Additional instructions following various types of treatment are listed below. Please click on the below topics for detailed instructions.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

  1. You may experience swelling. This can be minimized by applying ice packs to face, 10 minutes on and 20 minutes off, until bedtime on the day of surgery, and early the next morning.
  2. You may experience bleeding during the first 12 hours. Do not be concerned if saliva appears slightly red. If bleeding continues or is profuse apply pressure with a gauze pack directly to surgical area, and call us immediately.
  3. You may experience pain. Take medications for pain as directed, as often as needed, starting with the first indication of discomfort. If pain becomes intense or continues beyond 2-3 days call our office. Discontinue medication if pain ceases.

You may experience some, all or none of the above. In any event, here are additional suggestions which, if followed, will make you more comfortable:

  1. Keep fluid intake high for first 24 hours.
  2. Eat an adequate, but soft diet and take liquids every few hours. No hard or crunchy food (i.e. peanut items, popcorn, sesame or poppy seeds) and let your food cool down to room temperature before eating.
  3. If an antibiotic has been prescribed, take as directed until all of the medication has been taken. Discontinue only if you react unfavorably.
  4. When going to sleep, try and avoid face to pillow contact on the side of surgery.
  5. Do not disturb the dressing, but do not be alarmed if part or all falls off, as healing will progress nicely without the dressing in place. If the dressing falls off, please call our office so that it can be replaced as your will feel more comfortable.
  6. Brush teeth normally, but do not brush dressing or teeth in the area of surgery.
  7. Do not use the Water Pik or electric brush in surgical area.
  8. Rinse lightly 2 times daily with recommended mouthwash, starting the day of surgery.

You have had a surgical procedure and should expect to be moderately uncomfortable. The discomfort will be minimized if you remember to:

  • Apply ice as soon as possible
  • Take medication as directed
  • Eat an adequate diet

Feel free to call on us at any time for advice or help, for it is our desire to have you as comfortable as possible during the healing period.

Scaling and root planing therapy includes removing tartar and bacterial plaque from the root surface below the gum line.  This helps reduce inflammation and infection and improves the depth of periodontal pockets, therefore allowing more efficient flossing and brushing.

For the first 24 hours you may experience some cold and heat sensitivity.  Do not eat, drink, chew or consume hot foods or beverages until the numbness has worn off following anesthetic.  Avoid vigorous physical exercise and foods that are extremely hot or spicy for the first 24 hours and do not consume alcoholic beverages or smoke for at least 48 hours.  Some bleeding following a deep cleaning is normal, but if you experience excessive bleeding please call our office.

You can take ibuprofen or acetaminophen according to the instructions on the label or those provided by your doctor as needed.  A warm salt water rinse, approximately one teaspoon in an eight ounce glass of water, three times a day can be helpful.  Brush and floss gently following a deep cleaning, resuming normal brushing and flossing when the soreness is gone.

Follow any other instructions provided by our office on your visit.  Please take all medications as prescribed.

After your procedure please do not disturb the area.  Avoid forcefully rinsing or spitting.  Some bleeding is normal for the first 24 hours.  Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding.  If bleeding continues please call our office.

Please take all medications, including mouth rinses, as prescribed.

Warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.  Brush your teeth with a soft manual toothbrush.  Be gentle with brushing the surgical areas.  Sutures may be placed after the surgery and most sutures dissolve on their own.

Swelling and bruising may occur.  The use of ice packs following your surgery will help diminish the swelling you may experience in the next 48-72 hours.  Applying ice for 15-20 minutes followed by resting the same amount of time works very well.

Drink plenty of fluids. Stay away from spicy foods.  Also avoid sharp and crunchy foods like tacos, chips and nuts.  Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.

Keep physical activities to a minimum immediately following surgery.

If a surgical bandage was used, it is desirable for it to remain in place for 24 hours.  Do not remove it; it will come off when ready.  Once removed, you can begin cleaning the wound gently with a cotton swab dipped in a mouth rinse.

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office call and follow the instructions provided.  Your call will be returned as soon as possible.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Follow any other instructions provided by the office on your visit.  Please take all medications as prescribed including your prescribed antibiotics to help prevent infection.

After your procedure please do not disturb the area.  Avoid forcefully rinsing or spitting.  Some bleeding is normal for the first 24 hours.  Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding.  If bleeding continues please call our office.

Please take all medications, including mouth rinses, as prescribed.

Swelling and bruising may occur.  The use of ice packs following your surgery will help diminish the swelling you may experience in the next 48-72 hours.  Applying ice for 15-20 minutes followed by resting the same amount of time works very well.

After 24 hours, brushing and oral hygiene procedures should be done as usual in all untreated areas.  In the treated areas, please limit your oral hygiene to brushing using a soft manual toothbrush.  Avoid dental flossing in treated areas during the first week following surgery.  No undiluted mouthwash, salt water or peroxide rinses should be used during the first week following surgery.

Drink plenty of fluids.  Stay away from spicy, acidic, and foods.  Also avoid sharp and crunchy foods like tacos, chips and nuts.  Tobacco and alcohol should not be used.  Alcohol should not be used in combination with pain medications nor antibiotics.

Keep physical activities to a minimum immediately following surgery.  Avoid strenuous activity for 2-3 days.

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office call and follow the instructions provided.  Your call will be returned as soon as possible.  In the event of an emergency, please call our office.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

After your procedure please do not disturb the area.  Avoid forcefully rinsing or spitting.  Do not drink through a straw.

Some bleeding is normal for the first 24 hours.  Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding.  If bleeding continues please call our office.  Please take all medications, including mouth rinses, as prescribed.

After 24 hours, warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.  After 24 hours, brush your teeth with a soft manual toothbrush.  Be gentle with brushing the surgical areas.

Sutures may be placed after the surgery and most sutures dissolve on their own.

Swelling and bruising may occur.  The use of ice packs following your surgery will help diminish the swelling you may experience in the first 48-72 hours following surgery.  Applying ice for 15-20 minutes followed by resting the same amount of time works very well.  After 24 hours if swelling is till present, a warm pack can be applied to aid in comfort and reduce swelling and bruising.  Alternate the warm pack on and off in 15 minute intervals, as needed.

Drink plenty of fluids.  Stay away from spicy foods.  Also avoid sharp and crunchy foods like tacos, chips and nuts.  Tobacco and alcohol should not be used 24 hours following surgery.  Alcohol should not be used in combination with pain medications nor antibiotics.

Keep physical activities to a minimum immediately following surgery.

During office hours, immediate attention will be given to your situation, and you will be seen as soon as possible.  After office hours, please give the office call and follow the instructions provided.  Your call will be returned as soon as possible.  If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

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